California Changes the Definition of 'Outbreak' in Non-Health Care Settings

On June 20, 2023, the California Department of Public Health (CDPH) updated its COVID-19 public health order and guidance, changing the definition of “outbreak” in non-health care settings. This update also provides new guidance on face masks.

More detailed information is included in the following resources.

Outbreaks - what has changed?

Prior to the CDPH’s latest update, an outbreak was defined as three or more COVID-19 cases among employees in an exposed group within a 14-day period.

The updated outbreak definition is now half as long and is “at least three COVID-19 cases within an exposed group during a seven-day period.”

The revised definition of outbreak is based on evidence that the COVID-19 infection incubation period decreased — to an average of just 3.4 days. This new outbreak definition will impact rules around testing, recordkeeping and face coverings — so employers should confirm that their Injury and Illness Prevention program, as well as other COVID-19 policies and practices, are up-to-date with this latest guidance.

Remember - The CDPH can change or update this definition in a future regulation or order.

Face Masks

On May 19, 2023, the CDPH recommends that employers follow the new guidance in “Get The Most Out of Masking” resource. This replaces the previous “COVID-19 Guidance for Face Masking.”

The new resource includes information regarding:

Masks vs. respirators;

When masks should be worn;

Characteristics of a good mask;

Specifics on various types of masks like the KN95; and

Masking for children.

The CDPH still recommends the use of mitigating tools like face masks to limit the spread of COVID-19. Although its guidance has loosened over time on mandatory face mask use, the CDPH still recommends wearing a face mask:

Around others if you have respiratory symptoms (e.g., cough, runny nose and/or sore throat);

If you’ve had a significant exposure to someone who has tested positive for COVID-19 (mask for 10 days); and

If you test positive for COVID-19 — refer to guidance for mask wearing in the CDPH Guidance for Isolation and Quarantine of the General Public.

The CDPH will continue to review and update their COVID-19 guidance based on scientific evidence and epidemiological data and strongly encourages all Californians, including employers, to follow their recommendations. Employers should continue to monitor CDPH guidance and Cal/OSHA’s FAQs for the latest information on COVID-19.

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